Radiation Safety in Chronic Total Occlusion Percutaneous Coronary Intervention

At a glance

Type of study

Narrative review

Who was studied

Interventional cardiologists, Mixed lab staff, Patients

Topics

Room shielding and protective devicesDose reduction techniquesDosimetry and monitoringRegulation and policySafety culture and compliancePatient doseCancer riskPersonal protective equipment

Summary based on

the abstract

What it found

• Chronic total occlusion (CTO)-PCI is described as a complex, high-radiation procedure requiring careful radiation management for both patients and health care providers.

• The review presents mitigation strategies across procedural phases, including advanced shielding, low-dose imaging platforms and real-time monitoring tools.

• Institutional protocols and a culture of shared accountability are emphasized to support as low as reasonably achievable (ALARA).

• The review covers deterministic and stochastic biological risks, safety thresholds and regulatory guidelines.

Limits to keep in mind

Narrative review summarized only by its abstract; no original data, quantitative results or systematic search methods are reported.

Related research summaries

• Radiation protection practices in diagnostic and interventional cardiology: Position paper from Portuguese Association of Interventional Cardiology (2025, Guideline or consensus statement)
• Radiation safety program for the cardiac catheterization laboratory (2011, Guideline or consensus statement)
• Addressing the Occupational Risk of Radiation Exposure in the Evolving Field of Interventional Echocardiography (2024, Narrative review)
• Radiation Exposure, Training, and Safety in Cardiology (2024, Narrative review)
• AORN Guideline - Radiation Safety (Guideline or consensus statement)